• Archives of Reconstructive Microsurgery
• /
• 제22권1호
• /
• pp.33-37
• /
• 2013

Purpose: The concept and development of perforator free flaps have led to significant advances in microsurgery. Ongoing developments in perforator free flap surgery are aimed at reducing complications and improving surgical outcomes. The aim of this study was to evaluate the effectiveness and application of supermicrosurgery in free flap surgery. Materials and Methods: A total of 267 patients with soft tissue defects of the lower extremity due to various etiologies from January, 2007 to January, 2013. The patients received either an anterolateral thigh free flap (n=83), a superficial circumflex iliac artery free flap (n=152), an upper medial thigh free flap (n=19), or a superior gluteal artery perforator free flap (n=13). Microanastomosis was performed using a perforator-to-perforator technique, either end-to-end or end-to-side. Results: The mean postoperative follow up period was eight months (range: one to 16 months) and flap loss occurred in 11 cases out of 267. All cases of flap loss occurred within two weeks of surgery due to either arterial insufficiency (n=5) or venous congestion (n=6). Conclusion: Supermicrosurgery enables the selection of the most efficient perforator for microanastomosis at the defect site. It also reduces the time required for dissection of recipient vessels, and reduces the possibility of injury to major vessels. Microsurgery using a vessel of less than 1 mm has been reported to increase the risk of flap failure; however, using the most advanced surgical tools and developing experience in the technique can produce success rates similar to those found in the literature.

• 한국환경농학회지
• /
• 제9권1호
• /
• pp.47-52
• /
• 1990

달팽이류등 연체동물을 방제하기 위하여 배추에 사용한 metaldehyde 입제(6%)를 0.3kg AI/10a 수준으로 처리한 후 잎과 뿌리에 이행한 metaldehyde의 잔류량을 측정하였다. 처리는 관행, 수확전 7, 15, 30일로 하였다. 잎은 안쪽부분과 바깥쪽부분으로 나누어 분석 하였으며 뿌리에 대한 잔류량도 아울러 실시 하였다. 본 실험에서 얻은 결과는 다음과 같다. 1. 배추내에 존재하고 있는 free acetaldehyde의 양은 0.04-0.18ppm 이었다. 2. 배추잎과 뿌리에 대한 metaldehyde의 잔류량은 처리횟수가 증가할 수록 그리고 수확전 처리일수가 짧을 수록 증가함을 보여 주었다. 3. 잎에서의 metaldehyde 잔류범위는 0.11-1.4ppm 이었다. 4. 배추잎을 두부분으로 나누어서 분석한 결과, 바깥쪽부분(outer part) 보다는 안쪽부분(innerpart)에서 0.01-0.6ppm 정도로 잔류량이 다소 많았다. 5. 뿌리의 metaldehyde 잔류범위는 0.04-0.63ppm이었으며, 잎에 비해서는 낮은 경향이었다.

• Radiation Oncology Journal
• /
• 제29권4호
• /
• pp.219-227
• /
• 2011

Purpose: This study evaluated the treatment effectiveness and proper radiation dose of helical tomotherapy (HT) in spine oligometastases from gastrointestinal cancers. Materials and Methods: From 2006 to 2010, 20 gastrointestinal cancer patients were treated with HT for spine oligometastases (31 spine lesions). The gross tumor volume (GTV) was the tumor evident from magnetic resonance imaging images fused with simulation computed tomography images. Clinical target volume (CTV) encompassed involved vertebral bodies or dorsal elements. We assumed that the planning target volume was equal to the CTV. We assessed local control rate after HT for 31 spine metastases. Pain response was scored by using a numeric pain intensity scale (NPIS, from 0 to 10). Results: Spine metastatic lesions were treated with median dose of 40 Gy (range, 24 to 51 Gy) and median 5 Gy per fraction (range, 2.5 to 8 Gy) to GTV with median 8 fractions (range, 3 to 20 fraction). Median biologically equivalent dose (BED, ${\alpha}/{\beta}$ = 10 Gy) was 52 $Gy_{10}$ (range, 37.5 to 76.8 $Gy_{10}$) to GTV. Six month local control rate for spine metastasis was 90.3%. Overall infield failure rate was 15% and outfield failure rate was 75%. Most patients showed pain relief after HT (93.8%). Median local recurrence free survival was 3 months. BED over 57 $Gy_{10}$ and oligometastases were identified as prognostic factors associated with improved local progression free survival (p = 0.012, P = 0.041). Conclusion: HT was capable of delivering higher BED to metastatic lesions in close proximity of the spinal cord. Spine metastases from gastrointestinal tumors were sensitive to high dose radiation, and BED (${\alpha}/{\beta}$ = 10 Gy) higher than 57 $Gy_{10}$ could improve local control.

• 한국정밀공학회지
• /
• 제16권1호통권94호
• /
• pp.253-264
• /
• 1999

Most autonomous mobile robots view only things in front of them, and as a result, they may collide with objects moving from the side or behind. To overcome this problem. an Active Omni-directional Range Sensor System has been built that can obtain an omni-directional range data through the use of a laser conic plane and a conic mirror. Also, mobile robot has to know its current location and heading angle by itself as accurately as possible to successfully navigate in real environments. To achieve this capability, we propose a self-localization algorithm of a mobile robot using an active omni-directional range sensor in an unknown environment. The proposed algorithm estimates the current position and head angle of a mobile robot by a registration of the range data obtained at two positions, current and previous. To show the effectiveness of the proposed algorithm, a series of simulations was conducted and the results show that the proposed algorithm is very efficient, and can be utilized for self-localization of a mobile robot in an unknown environment.

• 한국통신학회논문지
• /
• 제19권9호
• /
• pp.1692-1701
• /
• 1994

이미 상용화된 시뮬레이터인 PSPICE의 기본적인 변형없이 새로운 소자나 시스템을 시뮬레이션하는데 있어 유용한 설계기법인 매크로모델링 기법을 이용하여 위상동기루프를 설계하였다. 위상동기루프는 위상 검출기와 전압제어 발진기, 루프 필터로 이루어져 있고, 이 중 위상 검출기와 전압제어 발진기를 매크로모델링 하였다. 루프 필터단은 외부에서 연결하도록 되어 있으며, 본 논문에서는 간단한 RC 저역통과 필터를 사용하였다. LM565CN PLL의 데이타 시트를 기준으로 설계한 매크로모델 파라미터로 시뮬레이션한 결과, 자유발진 주파수 2.5KHz에서 upper lock range와 lower lock range는 각각 1138Hz, 1500Hz였고, upper capture range와 lower capture range는 563Hz, 437Hz였다. 또한 실험결과와 시뮬레이션 결과가 일치함을 확인하였다.

• Physical Therapy Rehabilitation Science
• /
• 제10권2호
• /
• pp.112-115
• /
• 2021

Objective: This study was conducted to apply skin mobilization to patients with Axillary web syndrome following breast cancer resection and to see the resulting changes in pain and joint range of motion. Design: Single case study,pre-post comparison. Methods: The subject was a female patient in her 40s who performed a mastectomy after being diagnosed with breast cancer, and then complained of uncomfortable pain from the shoulder joint to the axilla and limited range of motion. To implement a skin mobilization, the palms were adhered to the inner half of the arm, the arms were raised to a pain-free extent, and skin mobilization was performed. The skin was pulled in the direction of axilla and kept for 5 seconds 10 times for a total of 2 sets. Immediate changes in range of motion and pain were identified. Results: Following skin mobilization, there was an immediate increase in range of motion (pre 116°, post 140°) and a decrease in pain (NRS pre 5, post 2). And also uncomfortable pain, which is hard to define in words, also seems to have improved. Conclusions: Skin mobilization, which considers skin mobility for patients with Axillary web syndrome, can be considered for improving range of motion and restoring function in patients with pain due to fibrous bands around veins and lymphatic vessels, and is recommended as a new intervention method not used as a conventional treatment.

• 한국정밀공학회:학술대회논문집
• /
• 한국정밀공학회 2009년도 춘계학술대회 논문집
• /
• pp.741-742
• /
• 2009

• 한국재료학회지
• /
• 제7권4호
• /
• pp.310-316
• /
• 1997

The effects of carbide and matrix structures on the abrasion wear resistance of multi-component white cast irons with 3.0 mass%C have been studied in this paper. Four different heats were poured in order to obtain the specimens with different combinations of the carbide structures: a basic iron(3.0 mass%C-5.0 mass%Cr-5.0 mass%V-5.0 mass% Mo-12.5mass%W)for M$_{6}$C and M$_{7}$C$_{3}$ carbides, and a Cr free iron(3.0 mass%C-5.0 mass%V-2.5mass%Mo-12.5 mass%W) for MC and M6C carbides. A conventional high Cr free free iron(3.0 mass%C-5.0 mass%V-2.5 mass%Mo-12.5 mass%W) for MC and M6C carbides. A conventional high Cr white cast iron was also poured to compare its wear resistance with those of the multi-component white cast irons. In the as-cast condition, the range of abrasive wear rate(Rw=mg/min) was from 4.15 to 5.98 . The lowest Rw, which means the highest wear resistance, was obtained in the basic iron with nodular MC, lamellar M$_{2}$C and cellular M$_{7}$C$_{3}$ carbides. On the other hand, the Rw of the high Cr white cast iron ranked between the basic iron and the Mo and W free iron. In each alloy, the Rw of air hardened or tempered specimen was lower than that of the as-cast one because of the change of matrix structures by the heat treatments. The Rw of the hear treated speci-mens increased in the order Mo and W free iron, basic iron, Cr free iron, high Cr iron, and V free iron.n.n.n.

• International Journal of Control, Automation, and Systems
• /
• 제2권1호
• /
• pp.107-117
• /
• 2004

A new algorithm for planning a collision-free path based on an algebraic curve as well as the concept of path space is developed. Robot path planning has so far been concerned with generating a single collision-free path connecting two specified points in a given robot workspace with appropriate constraints. In this paper, a novel concept of path space (PS) is introduced. A PS is a set of points that represent a connection between two points in Euclidean metric space. A geometry mapping (GM) for the systematic construction of path space is also developed. A GM based on the 2$^{nd}$ order base curve, specifically Bezier curve of order two is investigated for the construction of PS and for collision-free path planning. The Bezier curve of order two consists of three vertices that are the start, S, the goal, G, and the middle vertex. The middle vertex is used to control the shape of the curve, and the origin of the local coordinate (p, $\theta$) is set at the centre of S and G. The extreme locus of the base curve should cover the entire area of actual workspace (AWS). The area defined by the extreme locus of the path is defined as quadratic workspace (QWS). The interference of the path with obstacles creates images in the PS. The clear areas of the PS that are not mapped by obstacle images identify collision-free paths. Hence, the PS approach converts path planning in Euclidean space into a point selection problem in path space. This also makes it possible to impose additional constraints such as determining the shortest path or the safest path in the search of the collision-free path. The QWS GM algorithm is implemented on various computer systems. Simulations are carried out to measure performance of the algorithm and show the execution time in the range of 0.0008 ~ 0.0014 sec.

• Archives of Reconstructive Microsurgery
• /
• 제1권1호
• /
• pp.17-23
• /
• 1992

The authors analyzed the clinical results of the reconstructive surgery for injuried hand with microsurgery in 33 patients, 35 cases at the department of orthopaedic surgery, school of medicine, Kyung Hee university from 1985 to 1992 and the results were as followings. 1. There were 31 men and 4 women who had a mean age of 23 years(range, 3 to 44 years) and the follow up evaluations averaged 19 months. 2. The causes of the injury were machinery injury in 25 cases, traffic accident in 2, frostbite in 4, burn in 3 and fall down in 1. 3. For the reconstructive procedure, scapular free flap was applied in 6 cases, radial forearm flap in 7, dorsalis pedis free flap in 4, neurovascular island flap in 6, gracilis free flap in 1, wrap around flap in 6, toe to thumb in 5. 4. 32 cases(91.4%)were successful in reconstructive surgery with microsurgery exept the failure of scapular free flap in 2 cases and dorsalis pedis free flap in 1. 5. The causes of failure in scapular free flap were infection in 1 case and thrombosis in 1. In dorsalis pedis free flap, the cause of failure was infection. In the analysis of above results, the reconstruction with microsurgery was effective procedure for reconstruction of injuried hand.